Tuesday, March 24, 2009

tests and findings

I have a mission here in Manila.
With that, I think I've basically gathered a handful of my possible OB-Gyn Doctor.
After my operation, I think I will blog the list of doctors I've found, researched and thought of.

So, I've arrived Manila last Tuesday - March 17.
March 18, I was checking forums, internet, reading of some entries regarding good doctors for my case.
I'm so thankful with my friends - Aimee, Debbie and Sweeney... Aimee gave me a handful of Ob-Gyn doctors, courtesy from her sister, Angie. Debbie also gave me some suggestions based from her sister, Mae. Finally, it was Sweeney who jolted all my nerves and got me really going. She told me a story about her acquaintance, and got me all worried. hahahah!

So I immediately asked my mom to set an appointment with well-known oncologist/general surgeon - Dr. Samuel Ang of Chinese General Hospital.

CGH had been too familiar with me. I remember my Mom was confined there and gave birth to premature baby sister Erica. So this hospital is not really new to me. My mom and I hurriedly visited Dr. Samuel Ang, as his receptionist said that he'll be leaving by 2pm, for an operation. So I drove and asked my mom to immediately go to Dr. Ang's office for a lineup, then, I so looking for a place to park. The parking lot of CGH is soooo small!! It's a bit frustrating trying to park there!!! I finally end up parking at the place opposite CGH. Though I won't recommend it, it was my last chance to park and join my mom.

And so, I finally met the fab Dr. Samuel Ang. He actually said, in his opinion, a mass less than 6cm is nothing to be worry about. But then, he's not an Ob-Gyn Doctor, so he suggested to better consult a good Ob-Gyn. He recommended a fellow CGH doctor - Dr. Irene Sy. He helped us made an appointment, and we hurriedly met up with Dr. Sy.

Dr. Irene Sy asked us to do another Ultrasound and have my blood tested for CA125. We immediately went to New World Diagnostic Laboratory center in D. Tuazon, Quezon City.

I was nervous during the blood test. It took like less than 1minute to get my blood, but the waiting of a day for the result was nerve-racking!! I did a search for CA 125, and here's Wikipedia have to say about it:
CA-125 (cancer antigen 125) also known as mucin 16 or MUC16 is a protein which in humans is encoded by the MUC16 gene.[1][2] MUC16 is a member of the mucin family glycoproteins.[3]tumor marker or biomarker that may be elevated in the blood of some patients with specific types of cancers.[4]
CA-125 has found application as a

CA-125 is clinically approved for following the response to treatment and predicting prognosis after treatment. It is especially useful for detecting the recurrence of ovarian cancer. Its potential role for the early detection of ovarian cancer is controversial and has not yet been adopted for widespread screening efforts in asymptomatic women. The key problems in using the CA-125 test as a screening tool are its lack of sensitivity and its inability to detect early stage cancers. An operation would be necessary to confirm that a woman with elevated CA-125 has ovarian cancer, with the associated risk of death from major surgery. In addition, even if cancer was confirmed in such circumstances, it usually would be at an advanced stage where therapy is less effective. The goal of many cancer biologists is to develop a test that would be employed to diagnose ovarian cancer at an early stage, when the effects of therapeutic interventions are optimal.

Specificity and sensitivity

It is best known as a marker for ovarian cancer,[5] but it may also be elevated in other malignant cancers, including those originating in the endometrium, fallopian tubes, lungs, breast and gastrointestinal tract.[4] CA-125 may also be elevated in a number of relatively benign conditions, such as endometriosis,[6] several diseases of the ovary, and pregnancy.[7] It also tends to be elevated in the presence of any inflammatory condition in the abdominal area, both cancerous and benign.

Thus, CA-125 is not perfectly specific for cancer nor is it perfectly sensitive since not every patient with cancer will have elevated levels of CA-125 in the blood.[8] For example, 79% of all ovarian cancers are positive for CA-125, whereas the remainder do not express this antigen at all.[9]

Hahaha! I know these are a lot of words, but copying everything is better to have a better understanding what's the CA-125 is all about. I kinda got worried about the test results. Fortunately, I got my results back, which showed I'm within the normal range of 0.35u/ml. My result was 11.40u/ml. I was so relieved!

Here's the ultrasound equipment of New World Laboratory:

So far, these are just about what I can share for now.. I will have to save some to blog next time.
But I'm really okay... :) I'm super good! :)

1 comment:

  1. Hi achi! I hope everything will be fine... I'll pray for you.. btw thanks for dropping by my blog